81 analyst coder jobs found

Overview Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives....

Facility: Mercy Hospital of Buffalo Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: CWA Local 1133 Exempt from Overtime: Exempt: No Work Schedule: Days Hours: 8:00am - 4:00pm - flexible start end times (manager approved) Summary: Codes primarily acute hospital inpatient, SNF, Rehab, for the purpose of accurate reimbursement, research and compliance with federal regulations. Coding of Ambulatory, ER / Urgent Care, Interventional Radiology and same day surgery records is performed on an as needed basis. Diagnoses and procedures are coded through review of the entire medical record, utilizing International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) and Current Procedure Terminology (CPT) classifications. Queries physician for further clarification when there is uncertainty in the documentation of the medical record. Analyzes and reviews records for completeness. Actively participates as a member of the...

Sign-On Incentives :Up to a $5,000 sign-on bonus for candidates who meet eligibility criteria.Talk with your recruiter to learn more.Job Responsibilities :Assign ICD-10-CM and ICD-10-PCS codes to inpatient diagnoses and procedures, ensuring accurate MS-DRG or APR-DRG grouping in accordance with official guidelines and internal policies.Complete the appropriate number of coded records based on departmental productivity standards and accuracy requirements.Abstract key clinical and demographic information from patient records to support billing, quality reporting, and regulatory compliance.Utilize computer-assisted coding (CAC) tools, encoders, and official coding references to support consistent and accurate code selection.Initiate physician queries when documentation is incomplete, ambiguous, or unclear to ensure accurate code assignment and clarify clinical intent.Collaborate with Clinical Documentation Improvement (CDI) professionals to enhance documentation quality and identify...

A healthcare organization is seeking a HIM Same Day Surgery Coding Analyst to interpret provider documentation and assign diagnostic codes for acute care services. Responsibilities include analyzing medical records for accuracy and compliance, coding using ICD-10-CM/PCS and CPT standards, and providing training on coding practices. The ideal candidate will have coding certification, strong analytical skills, and experience in acute care facilities, with a commitment to quality patient care. Competitive salary range of $27.65 - $43.55 per hour offered. #J-18808-Ljbffr

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

CitiMed is a unique medical facility that provides exclusive healthcare amenities to our community. The range of medical and rehabilitative services offered has been specifically selected to treat traumatic injury patients. We provide a variety of health services including diagnostic and rehabilitation. Our vision directs the evolution of our practice, as we strive to improve our services to the community. All CitiMed offices are multilingual and staffed with individuals to make any experience pleasant. You can learn more about us at https://www.citimedny.com/. CitiMed is growing rapidly, and we are looking for many qualifying individuals to be a part of our team! With the support and hard work of all our employees, CitiMed continues to make its way down a successful road. CitiMed maintains a work culture that allows our team members to feel supported and confident in their work. We offer many learning opportunities with room for professional growth. If the responsibilities...

Job Description Job Description Salary: $27-$39 Job Title:Certified Medical Coder Schedule:Monday Friday 8:30 AM 5:00 PM Location: Stony Brook, NY Compensation:$27 - $39 Position Snapshot: The Certified Medical Coder is responsible for reviewing and analyzing physician documentation to accurately assign CPT, ICD-9, and ICD-10 diagnosis and procedure codes. This role ensures compliance with established coding guidelines, third-party reimbursement policies, regulatory requirements, and accreditation standards. The ideal candidate brings extensive evaluation and management (E/M) coding experience and a strong attention to detail. What Youll Be Doing: Perform complex and technical medical coding assignments with accuracy and consistency. Review, analyze, code, and abstract clinical documentation to assign appropriate diagnoses and procedure codes for reimbursement purposes. Ensure compliance with coding guidelines, payer policies, and regulatory requirements....

P osition Summary : Responsible for performing formal root cause and trend analyses of exceptions escalated from ConServe's monitoring and all other consumer-facing business activities, including consumer complaints and issues escalated to Corporate Compliance from various input channels. Responsible for performing targeted audits (control evaluations) to assess the quality and effectiveness of an individual control, a group of controls, or an entire process. Responsible for our PPMS (Professional Practices Management System) audits as well as our FISMA (Federal Information Security Management Act) audits. The Corporate Compliance Auditor is responsible for performing independent investigation on consumer complaints and issues escalated to Corporate Compliance from various input channels. The Corporate Compliance Auditor will perform Compliance Monitoring activities as assigned that ensure consumer financial regulations, Client, and ConServe's requirements are...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.06 - $32.29 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited...

Medical Coder IV, Complex The Medical Coder IV, Complex functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation for multiple specialties and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Essential Functions: Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines. Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up. Abstracts data and reviews codes for accuracy. Performs system edit checks and...

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential Duties and...

The Marwood Group is a healthcare advisory services firm headquartered in New York City with offices in Washington, DC, and London. The Healthcare Advisory Group advises and consults with the firm’s private equity and corporate clients on healthcare policy, strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical compliance. Marwood operates at the intersection of Wall Street and Washington, with experienced professionals from top banking, consulting, and healthcare operations firms, as well as senior political and governmental positions. The Advisory Group is currently accepting applications for a Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with regulations and coverage policies for both government and commercial payers. Researching...

About the Job About Us: Billing Geeks has been providing exceptional billing and patient management solutions since 2001. With a blend of cutting-edge technology and hands-on customer partnerships, we bring the best of both worlds: the efficiency of modern tech and the personalized touch of human interaction. We are industry leaders expanding our services across states, including New York, Florida, California, Connecticut, Illinois, New Jersey, North Carolina, Ohio, and South Carolina. Join a team where your work has a real impact, and your contributions are integral to achieving superior financial outcomes for healthcare providers. Contact: Phone: 212-877-5500 Responsibilities: Insurance Billing Insurance Verification Utilization Review Practice Analysis and Compliance A/R Management and Collections Claims Management Coding Overseeing the tasks of sending invoices to clients and monitoring outstanding balances. Ensuring each account is paid on...

Medical Coding Specialist This role involves reviewing and analyzing physicians' documentation, as well as CPT, ICD-9, and ICD-10 diagnosis codes. The coding function ensures compliance with coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines. Job Duties & Essential Functions Perform complex and technical assignments related to medical coding. Analyze, code, and abstract information to assign and enter consistent diagnoses and procedure codes for reimbursement. Resolve discrepancies related to coding issues. Review and correct rejected claims from various third-party carriers. Handle CPMP account notifications and accounts receivable reports (IDX), and ICD-09/10 coding. Maintain account records and track IDX record requests. Maintain PK files for validity errors. Monitor TES Open Encounter file. Manage CLIA renewals for all sites. Perform additional duties as assigned by management. Required Qualifications Certified...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching RECOVRY is seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies Verify patient insurance coverage and obtain necessary authorizations for services Analyze and resolve billing discrepancies and denials in a timely and efficient manner Maintain accurate...

Job Description:CitiMed is a unique medical facility that provides exclusive healthcare amenities to our community. The range of medical and rehabilitative services offered has been specifically selected to treat traumatic injury patients. We provide a variety of health services including diagnostic and rehabilitation. Our vision directs the evolution of our practice, as we strive to improve our services to the community. All CitiMed offices are multilingual and staffed with individuals to make any experience pleasant. You can learn more about us at https://www.citimedny.com/. CitiMed is growing rapidly, and we are looking for many qualifying individuals to be a part of our team! With the support and hard work of all our employees, CitiMed continues to make its way down a successful road. CitiMed maintains a work culture that allows our team members to feel supported and confident in their work. We offer many learning opportunities with room for professional growth. If the...

The best thing about this role Are you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible. What you'll do Under the supervision of the Director, Ambulatory Nursing the Supervisor Clinic Nursing Practice is responsible for creating and implementing nursing procedures to foster a productive and quality-driven work environment while planning, prioritizing and assigning health care tasks to clinical support team members. The Supervisor Clinic Nursing Practice functions as a resource to caregivers and is accountable for the promotion of professional growth, competency planning and validation, and performance evaluations. This individual will assist in the development of systems that maximize patient service, safety,...

Medical Records Coder II - Full Time - Days Department: CODING Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign the appropriate DRG based on an analysis of the patient file and medical necessity Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Abstract data elements and compile data for statistical reports Provide education based on recognized trends, including physician documentation Assist departments with diagnostic and...

Medical Group Coder - Remote - Full Time - Days Under the direct supervision of the Assistant Director of Revenue Cycle Management or Coding Supervisor, the Medical Group Coder will improve documentation, data quality, and revenue cycle operations. The coder reviews and analyzes medical records to accurately select all forms of HCPCS service codes (HCPCS, CPT, CPTII, CPTIII) and ICD-10-CM codes for professional services of hospital-based primary care, psychiatric, and other non-inpatient surgical providers. This includes services in the office or other outpatient settings and inpatient settings. Core Job Responsibilities: Assign the applicable HCPCS (HCPCS, CPT, CPTII, CPTIII) service codes based on review and analysis of medical records, following CMS, CPT, insurance company, hospital based, and office based guidelines. Assign applicable modifiers, review medical necessity, CCI, and other internal and external coding edits. Assign applicable ICD-10-CM diagnosis codes based...

Outpatient Coding Auditor Cedar Park Group is hiring an Outpatient Coding Auditor for a remote, short-term summer assignment supporting annual outpatient audits across ED, Same Day Surgery (SDS), and Observation. If you're looking for flexible hours, competitive pay, and focused audit work with clear deliverables, this is a strong opportunity. Assignment length is 36 months with possible extension. Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 36 month assignment (possible extension) Position Overview As an Outpatient Coding Auditor, you will lead annual outpatient coding audits, including chart review, scoring, rebuttals, and executive-level reporting. You'll analyze trends and error patterns, present findings to leadership, and deliver group and 1:1 education sessions to strengthen coding accuracy and documentation quality across ED, SDS, and Observation services. Responsibilities Complete annual outpatient coding...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not...

Risk Adjustment Coder Join VillageCare as a Full Time Risk Adjustment Coder and embrace the opportunity to work remotely while making a significant impact in the Health Care sector. This role offers the flexibility of a work-from-home environment, allowing you to balance your professional and personal commitments without the daily commute. You'll be part of a dynamic team that thrives on innovation, problem-solving, and a customer-centric approach, all while contributing to the excellence and integrity that VillageCare stands for. With a competitive salary up to $77,506.87 - $87,195.23, this is not just a job but a chance to build your career in a forward-thinking organization dedicated to healthcare improvement. As a team member you'll be able to enjoy benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional...

Certified Coder (Remote) - Stony Brook Surgical Associates, UFPC Location: Stony Brook, NY Schedule: Full Time Days/Hours: Monday - Friday; 830 AM - 5 PM; At the Manager's discretion, this role may be eligible for remote work (after 90 days) Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting SUMMARY This incumbent is responsible for reviewing and analyzing physicians’ documentation, CPT, and...

Overview Position: Risk Adjustment Coder Location: Remote (Must reside in NY/NJ/CT) Schedule: Monday - Friday 9am-5pm Compensation: $77,506.87 - $87,195.23 annual salary Responsibilities Perform critical code abstraction of medical records and ensure accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes supported by clinical documentation. Conduct comprehensive review of medical records to validate documentation meets CMS requirements, including provider signatures and relevant dates. Identify improvement opportunities in documentation and coding processes; participate in quality initiatives to enhance outcomes. Maintain current knowledge of coding standards and regulations; support Medicare Risk Adjustment team in educating providers on compliance and consistency. Report findings from audits, assist in analysis, and maintain a minimum coding quality audit accuracy of 95% while meeting productivity requirements. Qualifications At least three years of...